Annissyah Afianti Alamsyah, is a
Student In An Organized Health Care Education/training Program based in San Francisco, California. Annissyah Afianti Alamsyah is licensed to practice in * (Not Available) (license number ) and her current practice location is
3626 Balboa St, San Francisco, California. She can be reached at her office (for appointments etc.) via phone at
(415) 668-5955.
NPI number for Annissyah Afianti Alamsyah is 1801295084 and her current mailing address is 3626 Balboa St, San Francisco, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1801295084.
Healthcare Provider's Profile
| Full Name | Annissyah Afianti Alamsyah |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 3626 Balboa St, San Francisco, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1801295084
- Provider Enumeration Date: 08/14/2014
- Last Update Date: 08/26/2019
Medical Identifiers
Medical identifiers for Annissyah Afianti Alamsyah such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1801295084 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Annissyah Afianti Alamsyah is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Annissyah Afianti Alamsyah,
3626 Balboa St,
San Francisco, CA 94121-2604
Ph: (415) 668-5955 | Annissyah Afianti Alamsyah,
3626 Balboa St,
San Francisco, CA 94121-2604
Ph: (415) 668-5955 |
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